Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis
Summary of Event: An endoscopic retrograde pancreatic duct (ERPD) stent was inserted in a male patient with chronic pancreatitis via endoscopic retrograde cholangiopancreatography (ERCP) to relieve chronic epigastric pain. After the procedure, an abdominal computed tomography scan showed localized p...
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2017-10-01
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Online Access: | https://doi.org/10.18528/gii170014 |
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doaj-c7ed604699214542bdcc25e70a8e26a92020-11-24T22:58:25ZengSociety of Gastrointestinal InterventionGastrointestinal Intervention2213-17952017-10-016318719010.18528/gii170014gii170014Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitisSeung Yong Shin0Sung Ill Jang1Joon Seong Park2Dong Ki Lee3Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaPancreatobiliary Cancer Clinic, Department of Surgery, Gangnam Severance Hospital, Yonsei University Health System, Seoul, KoreaDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaSummary of Event: An endoscopic retrograde pancreatic duct (ERPD) stent was inserted in a male patient with chronic pancreatitis via endoscopic retrograde cholangiopancreatography (ERCP) to relieve chronic epigastric pain. After the procedure, an abdominal computed tomography scan showed localized peritonitis with a dislocated ERPD stent. The patient underwent an emergency operation, which revealed that the peritonitis was caused by perforation of the pancreatic parenchyma by the ERPD stent. Teaching Point: A hydrophilic guide wire can puncture the pancreas during ERPD stent insertion. Therefore, it is necessary to ensure that the guide wire reaches the main pancreatic duct, especially in patients with chronic pancreatitis.https://doi.org/10.18528/gii170014Cholangiopancreatography, endoscopic retrogradePancreasPancreatitis, chronicPerforation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Seung Yong Shin Sung Ill Jang Joon Seong Park Dong Ki Lee |
spellingShingle |
Seung Yong Shin Sung Ill Jang Joon Seong Park Dong Ki Lee Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis Gastrointestinal Intervention Cholangiopancreatography, endoscopic retrograde Pancreas Pancreatitis, chronic Perforation |
author_facet |
Seung Yong Shin Sung Ill Jang Joon Seong Park Dong Ki Lee |
author_sort |
Seung Yong Shin |
title |
Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis |
title_short |
Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis |
title_full |
Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis |
title_fullStr |
Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis |
title_full_unstemmed |
Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis |
title_sort |
pancreatic perforation caused by the soehendra® retrieval device in a patient with chronic pancreatitis |
publisher |
Society of Gastrointestinal Intervention |
series |
Gastrointestinal Intervention |
issn |
2213-1795 |
publishDate |
2017-10-01 |
description |
Summary of Event: An endoscopic retrograde pancreatic duct (ERPD) stent was inserted in a male patient with chronic pancreatitis via endoscopic retrograde cholangiopancreatography (ERCP) to relieve chronic epigastric pain. After the procedure, an abdominal computed tomography scan showed localized peritonitis with a dislocated ERPD stent. The patient underwent an emergency operation, which revealed that the peritonitis was caused by perforation of the pancreatic parenchyma by the ERPD stent. Teaching Point: A hydrophilic guide wire can puncture the pancreas during ERPD stent insertion. Therefore, it is necessary to ensure that the guide wire reaches the main pancreatic duct, especially in patients with chronic pancreatitis. |
topic |
Cholangiopancreatography, endoscopic retrograde Pancreas Pancreatitis, chronic Perforation |
url |
https://doi.org/10.18528/gii170014 |
work_keys_str_mv |
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